The nurse is caring for a 13-year-old girl with von Willebrand disease. After teaching the adolescent and her parents about this disorder and care, which response by the parents indicates a need for additional teaching?
A) "We need to administer Stimate prior to dental work."
B) "We should be aware that she may suffer from menorrhagia."
C) "We should administer desmopressin as often as needed."
D) "We understand that she may have frequent nosebleeds."
Ans: C
The parents need to know that desmopressin spray Stimate is used for controlling bleeding; the other brands are used for homeostasis and enuresis. Additionally, Stimate should only be used 3 days in a row as lessening of the response (tachyphylaxis) occurs with frequent use. Stimate should be used before dental work. Menorrhagia and nosebleeds may occur.
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